Laserfiche WebLink
i <br /> APPLIC� _ �ION FOR ELECTRICA� PERMIT i <br /> ! <br /> , <br /> C/TY OF EVERETT � <br /> BU/LOING D/V/SION � <br /> 9100 CfOAR STREET � <br /> EVERETT, WA DB20> <br /> (425)?67-0B10 <br /> 3 co a U '��-�-�� ?1���- 1 <br /> PROJECT ADDRESS <br /> 1��0.J1 r�aGn� Sfi��ne �vcrcfl" I�1/a 9��.Of P� — <br /> �,�ef AAsll Address Clty Stata2lp <br /> Tenent MeNAddreas CMy StateZp Phax <br /> �QY1S �l�fUilF �I eG'�'f�G �7 1�i0Y- N(�'a t�i�Iiv�( -�-� 1.�1F�� c18aa3 �Ia��3.�9- �DSo <br /> EleCtricalContfeCtof MeAAddross Cily State?Jp P� <br /> �AN< 5 � ISS' �''3A - — <br /> State License Number Contrad Price ot Work <br /> ��PSidP�1Ce Contact Person (Plan Review) <br /> Proposed Use of Bullding <br /> Descdption of Workta Be Done: r�Dp }��1� S� �'L��icP C�1�✓`�1� <br /> V <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUCATIONA FACILBIT ES AND ALL HEA THR ARE FACIL TIESLPLANS WILL BE EV EWED BY THIS OFF CEHER <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 1b NCHES ABOVE THE FLOORAWAC 51 20 SEC83 060;TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC SE 20 SEC 9N 6(b)4 E&F AND N T LESS THRAN 36 N HES ABOVE THE F1LOOHRN THE REACH <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAIAWED TNIS APPUCAT70N RND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES COVERNING THIS TYPE OF WORK WILL BE COMPLE7ED WHETHER SPECIFIED HEREIN OR NOT, <br /> THE GftANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOViTE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> THIS PROPER�RTOGPERFORM THE WORK�OR��CH APPLICATION IS MADE AND I COTMPLY WITH THE STATE CONTRAC ORS WE B 2� <br /> RCW AND 296.200 WAC. . <br /> � FEE <br /> /�1' (�' � �J�� �(ln� n�-�-DD _ <br /> SI �ature Date <br /> EtEC1pI1NeYe) <br />